Boletin medico del Hospital Infantil de Mexico · 2025
Dengue congénito como diagnóstico diferencial en neonatos con sospecha de sepsis neonatal: reporte de caso en una región endémica.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Espinoza-Venegas Luis A, Samame-Talledo Billey K, Mauricio-Neyra Lidia G, Pampa-Espinoza Luis, Munayco-Guillén Fernando, Pichardo-Rodríguez Rafael
Аннотация
BACKGROUND: A major dengue epidemic affected Peru in 2023, with more than 246,614 cases with 419 deaths and an approximate of 8,312 pregnant women affected, with risk of transmitting the virus to the fetus.
CLINICAL CASE: The case of an 11-day-old newborn is reported, whose mother started dengue fever one day before delivery, who was admitted to the emergency room with a diagnosis of sepsis (fever, jaundice, alteration of sensorium) and a history of cesarean delivery due to acute fetal distress. RT-PCR for dengue serotype 2 was identified in both the mother and neonate, suspending antibiotics and starting controlled hydration therapy, with favorable evolution that allowed the 7 to be discharged from hospitalization.
CONCLUSIONS: Congenital dengue should be suspected in any neonate whose mother presents dengue up to 10 days before delivery and who presents a clinical picture of sepsis, and we must monitor the neonate until the 12th day of life.
CLINICAL CASE: The case of an 11-day-old newborn is reported, whose mother started dengue fever one day before delivery, who was admitted to the emergency room with a diagnosis of sepsis (fever, jaundice, alteration of sensorium) and a history of cesarean delivery due to acute fetal distress. RT-PCR for dengue serotype 2 was identified in both the mother and neonate, suspending antibiotics and starting controlled hydration therapy, with favorable evolution that allowed the 7 to be discharged from hospitalization.
CONCLUSIONS: Congenital dengue should be suspected in any neonate whose mother presents dengue up to 10 days before delivery and who presents a clinical picture of sepsis, and we must monitor the neonate until the 12th day of life.